Trybou Jeroen, Gemmel Paul, Pauwels Yarrid, Henninck Charlene, Clays Els
Department of Public Health, Ghent University, Belgium.
J Adv Nurs. 2014 Feb;70(2):373-82. doi: 10.1111/jan.12201. Epub 2013 Jul 3.
The aim of this study was to examine the relations between perceived organizational support, the quality of leader-member exchange, in-role and extra-role behaviour, professional identification and organizational identification among registered nurses and nurse assistants.
Theoretically, employees will reciprocate received beneficial treatment with positive attitudes and behaviour. Recently, it has been shown that this principle may be more complex than originally anticipated.
A quantitative, cross-sectional survey design was used. The quality of social exchange and identification was scored by the involved registered nurses and nurse assistants; in-role and extra-role behaviour was rated by the head nurse.
The survey was administered to nurses and nurse assistants (n = 196) working in five Belgian nursing homes. Data were collected from February-March 2012. Pearson correlation analyses, t-test analyses and hierarchical regression were used to analyse the data.
Our results showed no relationship between perceived organizational support and leader-member exchange and in-role behaviour. A positive relationship was found between perceived organizational support and extra-role behaviour and a trend towards significance between leader-member exchange and extra-role behaviour. Organizational and professional identification moderated the relationship between perceived organizational support and extra-role behaviour.
Our study demonstrates the importance of social exchange to nurses and nurse assistants and therefore nursing administrators and leaders. When registered nurses and nurse assistants perceive high-quality social exchange, they are more likely to go the extra mile on behalf of the organization. Fostering social identification could enhance this.
本研究旨在探讨注册护士和护士助理所感知到的组织支持、领导-成员交换质量、角色内与角色外行为、职业认同和组织认同之间的关系。
从理论上讲，员工会以积极的态度和行为回报所得到的有益待遇。最近有研究表明，这一原则可能比最初预期的更为复杂。
采用定量的横断面调查设计。社会交换和认同的质量由参与调查的注册护士和护士助理评分；角色内和角色外行为由护士长进行评级。
对在比利时五家养老院工作的护士和护士助理（n = 196）进行调查。数据收集于2012年2月至3月。采用Pearson相关分析、t检验分析和层次回归分析对数据进行分析。
我们的结果显示，感知到的组织支持与领导-成员交换以及角色内行为之间没有关系。感知到的组织支持与角色外行为之间存在正相关关系，领导-成员交换与角色外行为之间存在显著趋势。组织认同和职业认同调节了感知到的组织支持与角色外行为之间的关系。
我们的研究证明了社会交换对护士和护士助理以及护理管理人员和领导者的重要性。当注册护士和护士助理感知到高质量的社会交换时，他们更有可能为组织付出额外的努力。培养社会认同可以增强这一点。
